THE KERALA VALUE ADDED TAX RULES, 2005

FORM NO. 20C

STATEMENT TO BE FILED BY THE AWARDER WHEN TAX IS PAID IN
ACCORDANCE WITH SECTION 10
[See Rule 42 (2)]
TO
DATE
The Core Tax Officer
........................................... TI
N
PIN

CST
RC NO

I …………................................................................................................................................on behalf
of ................................................................................................................................…………………… hereby
intimate the following particulars in respect of the works contract awarded by me/ us in respect of which payments
have been made to the contractors during the month of ……………………. ( here specify month and year)

01. Details of contract

1 Sl No
2 Name and address of the contractor\
3 TIN. of the contractor
4 Nature of contract
5 Period of contract
6 Gross amount of contract (Rs.)
7 Place of work
8 Place of Payments made during the month (Rs.)
9 Amount on which deduction made
10 Rate at which deduction is made (%)
11 Amount of tax deducted (Rs.)
12 No. and Date of certificate U/R 36(4) (where no
tax is deducted)

02. Particulars of remittance of tax

i) Chalan/Cheque/DD No. and Date

ii) Amount (Rs)
iii Name and address of Bank/ Treasury.
)

DECLARATION
do hereby declare that the particulars furnished above are true, correct and complete to the best of
my knowledge, information and belief.

Signature
Place: Name of the Officer
Date: Designation/Status.

0002
 Payment made to Shri............................................................... Govt. Contractor for the year................................

Name of work CBV Materials R&R IT, SC on VAT ST KCWWF Retention Security Net Gross
Surcharge IT/EC Others deposit amount amount
&
Education
cess

Total
Date:
0002
 FORM 16 A
CERTIFICATE OF DEDUCETION OF TAX AT SOURCE UNDER SECTION 203 OF THE INCOME TAX ACT 1961

Name & Address TDS Circles where Name & address of the Tax deduction Nature of PAN/GIR No. PAN/GIR No. For the
of the person annual return/206 is person to whom payment A/c No. of the payment of the payee of the deductor period
deduction tax to be delivered made for in whose account it deductor
is credited
Deduction from
contractors Bill

DETAILS OF PAYMENT OF DEDUCTION AND DEPOSIT OF TAX INTO CENTRAL GOVERNMENT ACCOUNT.

Date of payment Amount paid/ credited Amount of income tax Rate at which deducted Date & Chalan No. of Nature of Bank &
(Rs) deducted (Rs) deposit of tax into Branch where tax
central Govt. deposited

Certified that a sum of Rs...................................(Rupees............................................................................................................................................. only)

has been deducted at source and paid to the credit of the central Govt. as per details given below.

Place:
Date :
Signature of the person responsible for deduction of tax

0002